| NPI | 1114050135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J MAASSEN Privacy Officer 414-908-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 227800000X Respiratory Therapist, Certified | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-12-18 |